Health Care Alliance North America
Addiction Treatment & Mental Health Solutions
Who We Are
Health Care Alliance is a management company and care provider breathing new life into the landscape of traditional addiction treatment and mental health care. While keeping one hand on the proven methods of the past, we also reach forward to innovative new solutions. By unifying these methods with a holistic approach to the human experience, we ensure everyone we come into contact with a thriving life and a lasting recovery.
What Separates Us From The Rest
Health Care Alliance intends to be more than simply a business offering a product. We intend to be a movement, offering solutions in leading-edge forms, from new awareness of how healing comes about organically, through a myriad of catalysts.
These methods, treatments, and modalities employed at our centers and through our collaborations will powerfully impact the healing of each individual and community at large. They will expand the capacity of the collective to become more; more healthy, more informed, more of what each individual feels they were created to be.
Additional Services
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Accreditation And Licensing
Joint Commission, LegitScript, NAATP, SafeZone, Psychology Today, We Do Them All
Accreditation
Accreditation is a process that evaluates and documents the quality of services provided by a health care facility or program. Accreditation provides an outside assessment of the quality of care, which can then be used as evidence for other third-party payers for reimbursement.
Licensing
Licensure is the authorization granted by a government agency to operate a particular type of business or perform a particular type of professional service. For example, the state issues licenses to doctors and nurses, which authorizes them to practice their profession in that state. To obtain a license, you must go through an application process with the state or district’s regulatory agency. Licensing doesn’t always assess if a health care facility provides quality services or meets national standards.
The Benefits of Accreditation and Licensing
Accreditation and licensing are crucial components of a successful business. These external authorizations give legitimacy and validity to a company, its operations, and its employees. Our specialists at HCANA are highly experienced in meeting the specific requirements of various web compliance systems such as:
The Joint Commission
The Joint Commission strives to continually improve health care for the public by evaluating facilities, promoting excellence in providing safe and effective care of the highest quality, and inspiring organizations to do more.​
LegitScript
A verification service specializing in the medical field, LegitScript confirms that services offered by a business are being performed by licensed professionals.
SafeZone
An online resource that provides awareness for educators facilitating sexuality and gender education sessions at the workplace. This online resource also offers materials for learners to explore these concepts on their own or with the help of Safe Zone facilitators.
Psychology Today
Psychology Today is an enterprise that is dedicated solely to human behavior. As one of the main online resources used by individuals in the healthcare sector, Psychology Today verifies licensed providers and their practice.
NAATP
The National Association of Addiction Treatment Providers is a professional organization that represents hundreds of not-for-profit and for-profit addiction treatment providers who offer critical services, such as law and policy advocacy, along the full continuum of care. The NAATP unites the industry in order to promote understanding between professionals working within both public and private sectors.
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Utilization Review
We Coordinate With Insurance Companies So You Don't Have To
The goal of HCANA’s utilization review specialists is to make sure all clients receive the care they need, that it’s properly administered, provided by a qualified healthcare professional, and administered in the appropriate setting.
Utilization Review
Utilization Review (UR) is a strategic process in healthcare that maximizes the ability of a client to utilize their benefits. The UR department works with insurance providers to make sure that a client is in the correct level of care, and that the insurance company authorizes all days that the client is treated for. It involves the careful review of records, electronic medical records, and patient care processes.
The utilization review process should result in effective, quality care provided economically and in unison with current evidence-based care guidelines. Our specialists may conduct utilization reviews while treatment is being administered (concurrent UR), or after treatment (retrospective UR). Utilization reviews can also be conducted as part of the prior authorization process, which is when a patient needs prior approval from their health insurer before beginning treatment.
We Specialize in Corresponding With The Following Insurance Companies
Client Authorization
The process for authorizing a client for treatment at any level of care generally involves the provider calling the insurance company, making a case for why the client needs treatment, and then having that care approved by a clinician hired by insurance companies based on medical necessity. UR specializes in viewing all of the criteria within a client’s chart and working with medical and clinical staff on finding the rationale for treatment. In this way, clients are authorized to receive necessary treatment.
At HCANA, our utilization review experts correspond with health insurance companies, as well as the discharge team, and clinical staff. In choosing us for your utilization review needs, your practice can successfully avoid claim denials by ensuring that insurance companies are informed of the treatment being effective and necessary. In trusting our utilization review specialists, you can also expect revenue growth due to our specialists’ experience in client coverage advocacy.
